Private Lesson Request Form Applicant’s Name Email Address Confirm Email Address Lesson Format In-person (at KAI)In-person (at your office)Online Preferred Days and Times (Japan Standard Time)Please tell us your preferred days of the week and lesson start times.(e.g. Mondays and Wednesdays, starting at 6:00 p.m.) Preferred Start Date Preferred End Date Purpose of StudyWhat is your main reason for studying Japanese? Learning GoalWhat level of Japanese would you like to achieve? Current Japanese Level Beginner Elementary Pre-intermediate Intermediate Pre-advanced Advanced JLPT Level (if applicable) N5 N4 N3 N2 N1 Japanese Study HistoryHow long have you studied Japanese?(e.g. 2 years / 6 months / approximately 300 hours) Previous Learning MethodsHow have you studied Japanese? (Select all that apply.) Group Lessons Private Lessons Self-study Online Lessons Preferred TextbookIf you have a preferred textbook, please let us know. Additional Requests or Questions Agreement to the Cancellation PolicyPlease review our cancellation policy.https://www.kaij.jp/about/cancellation/#co-index-2 I confirm that I have read and fully understood the cancellation policy for the private lesson. An unexpected problem has occurred. Please try again later or contact your administrator by other means.